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COTTONWOOD KIDS DENTAL LLC
NPI 1073403911
Clinic/Center - Dental in Cottonwood, AZ

Active since July 03, 2025
2180 AZ 89A, COTTONWOOD, AZ 86326(954) 557-7399 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cottonwood Kids Dental Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COTTONWOOD KIDS DENTAL LLC (NPI 1073403911) is a healthcare organization registered as a dental in Cottonwood, Arizona and active in the NPI registry since July 2025. The organization lists Jordan Janis, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1073403911
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCOTTONWOOD KIDS DENTAL LLC
Location Address2180 AZ 89ACottonwood, AZ 86326
Mailing Address4208 E Roma AvePhoenix, AZ 85018-4251
Phone(954) 557-7399
Organization SubpartNo
Authorized OfficialJordan JanisOwner/dentist · (954) 557-7399
Enumeration DateJuly 3, 2025
Last NPPES UpdateOctober 3, 2025
NPPES CertifiedOctober 3, 2025
✔ NPI 1073403911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2180 AZ 89A, Cottonwood, AZ 86326
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cottonwood Kids Dental LLC's NPI number?

The NPI number for Cottonwood Kids Dental LLC is 1073403911. It was assigned to this organization in the NPPES registry on July 3, 2025.

Where is Cottonwood Kids Dental LLC located?

Cottonwood Kids Dental LLC is located at 2180 Az 89A, Cottonwood, AZ 86326. The listed phone number is (954) 557-7399.

What is Cottonwood Kids Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Cottonwood Kids Dental LLC was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.